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Z-frenuloplasty to untangletongue Tie

Author: 
Rajesh Kumar Thakur, Mamta Singh, Pranav Gupta and Pranav Kumar Thakur
Subject Area: 
Health Sciences
Abstract: 

Introduction: Ankyloglossia, commonly called as “tongue-tie” is a congenital anomaly characterized by an abnormally short lingual frenum. This may restrict tongue tip mobility which leads to problems with speech articulation and swallowing. There are different techniques for its management. The present case report highlights the use of a novel surgical technique called as Z- Frenuloplasty for the management of tongue tie of a 9-year old male patient. Method: Z-Frenuloplasty is a technique sensitive surgical procedure and should be done under the expertise of a skilled clinician. An initial vertical incision is given in the centre of the frenum. Incisions are made to raise triangular flaps which are later repositioned in a ‘Z-plasty’ flap closure. Sutures are removed a week later. Result: Z-Frenuloplasty helps to release scar contracture and relieve soft tissue tension. The appearance of a scar is also improved with this technique as it helps to both relax and re – align the tissues. This procedure can also be used to position a short frenulum more apically for better aesthetic and functional results. Conclusion: The use of the Z-Frenuloplasty technique has shown favorable results with improved aesthetic and functional outcomes.

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